Organization Active NPI

Urp Lake Worth LLC

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
National Provider Identifier
1326780883
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
URP LAKE WORTH LLC
Practice address
4865 40TH Way S
Lake Worth, FL 33461-5301
Phone
(549) 654-9072
Fax
(954) 251-3718
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayla Macdonald
Title
Coo
Phone
(954) 654-9072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4865 40TH Way S
Lake Worth, FL 33461-5301

Mailing address

9050 Pines Blvd Ste 460
Pembroke Pines, FL 33024-6459
Phone (954) 362-4389

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL unitedrecoveryproject.com

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1326780883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 460",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246459",
            "telephone_number": "954-362-4389",
            "fax_number": "954-799-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 40TH WAY S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615301",
            "telephone_number": "549-654-9072",
            "fax_number": "954-251-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URP LAKE WORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "954-654-9072"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unitedrecoveryproject.com",
            "affiliation": "N",
            "address_1": "4865 40th Way S",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334615301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.